Not applicable REIRS and REMS File Submission Form

4/27/23, 3:00 PM

REIRS and REMS File Submission Form

REIRS and REMS File Submission Form
 (/CER/Public/ViewFile/FileSubmission_Help)
All fields are required.
Submitter Name:

Submitter Title:

Organization / Company:

NRC License Number or DOE Organization Code:

Phone Number:
 – 

 – 

Ext.

Email Address:

File to Submit:
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Upload Limit 15MB

Type Of Data:
ANNUAL - NRC:
Individual monitoring records reported under 10 CFR 20.2206 (http://www.nrc.gov/reading-rm/doccollections/cfr/part020/part020-2206.html), and Reg Guide 8.7
(http://pbadupws.nrc.gov/docs/ML0529/ML052970092.pdf), including corrected reports for prior years.

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REIRS and REMS File Submission Form

ANNUAL - DOE:
Individual monitoring records reported under 10 CFR 835 (http://energy.gov/ehss/occupational-radiation-protectionprogram-10-cfr-835), and REMS Reporting Guide
(http://energy.gov/sites/prod/files/2015/12/f27/REMS_Reporting_Guide.pdf), including corrected reports for prior
years.
ANNUAL - Agreement State:
Individual monitoring records, including corrected reports for prior years.
___________________________________________________________
Special Individuals - DOE:
Monitoring records for Special Individuals as defined in DOE O 231.1B, Attachment 4,2(a)
(https://www.directives.doe.gov/directives-documents/200-series/0231.1-BOrder-b-admchg1)
Test Data or Other:
Records or data files requiring further examination or analysis from the Project Manager. Contact the PM
(mailto:[email protected];[email protected]?Subject=File%20Submission) in advance.
Dose History Request Documentation:
Release Forms and/or Supporting Documentation for Dose History Requests

Submit Data File

Paperwork Reduction Act Statement for NRC Respondents
APPROVED BY OMB NO. 3150-0006
Estimated burden per response to comply with this mandatory collection request: 20 minutes. This information is used to
ensure that doses to individual do not exceed regulatory limits. This information is required to record/annually report
individual occupational exposure to radiation to ensure that the exposure does not exceed regulatory limits. Send
comments regarding burden estimate to the Information Services Branch (T6 A10M), U.S. Nuclear Regulatory
Commission, Washington, DC 20555-0001, or by e-mail to [email protected]
(mailto:[email protected]), and to the Desk Officer, Office of Information and Regulatory Affairs, NEOB10202, (3150-0006), Office of Management and Budget, Washington, DC 20503. If a means used to impose an
information collection does not display a currently valid OMB control number, the NRC may not conduct or sponsor, and
a person is not required to respond to, the information collection.

Privacy Act Statement for DOE Respondents
OMB Control No. 1910-0300
Expires 3/31/2023

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REIRS and REMS File Submission Form

The Department of Energy (DOE) will use the information collected through this system/database for the purpose of
monitoring and recording levels of radiation exposure to individuals working or visiting DOE facilities. This is a database
of occupational radiation exposure for all monitored DOE employees, contractors, subcontractors and members of the
public. The Rule 10 CFR 835 702 (a) and (b) requires Annual Individual Radiation Exposure Records to be recorded
therefore this requirement is mandatory. The DOE Order 231.1B, Environment, Safety and Health Reporting, requires the
data to be reported into the Radiation Exposure Monitoring System Repository. DOE contractor personnel and other
individuals’ radiation exposure records, social security numbers, and other records, in connection with registries of
uranium, transuranic, or other elements encountered in the nuclear industry are maintained as described in the
Department of Energy System of Records, DOE-35, “Personnel Radiation Exposure Records”.

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